Anthem Blue Cross Transportation - Expired

• This form provides LogistiCare or another authorized transportation provider with information about the appropriate level of nonmedical transportation (NMT) or nonemergency medical transportation (NEMT) needed for the member.
• • Owner
    Nai Pharn
  • Created On
    01-15-2019
  • Updated On
    05-09-2022
  • Update Reminder
    N/A

• How To Contact

  • Name
    General Contact
  • Phone
    (877) 931-4755
  • Fax
    N/A
  • Email
    none@none.com
  • Address
    000000
  • City
    Oakland
  • State
    CA

• More Information

  • Start Date
    05-06-2022
  • Expiration Date
    05-31-2023
  • Eligibility
    free
  • Fee
    0.00
  • Organization
    Anthem Blue Cross
  • Zip Code
    94609

• Helpful Links

• Detailed Information

  • Please call 1-866-529-2128 to set up transportation for families.

    
    

    You will need to collect all information such as: patient name, address, phone numbers, insurance member id, and dates/times of next appointment.

    The rides need to be placed at least 5 business days in advance of any future appointments.

    If the patient or family requires "call upon arrival," you must specify with Logisticare that this service is requested.

• Eligibility Information

  • States
  • Counties
    • Alameda County
    • Contra Costa County
    • Marin County
    • San Francisco County
    • Santa Clara County
    • Solano County
  • Cities
  • Zipcodes
  • School Districts
  • Age Groups
  • Languages Served
  • Family Incomes
  • Insurance Providers
    • Blue Cross MediCal

• Files

  Referral Form

  Anthem PCS Form - 2018.pdf

  01-15-2019